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Organization
WEST LOOP SMILE STUDIO
Active
Organization
WEST LOOP SMILE STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OZZIE SMITH III DDS (PRESIDENT/DENTIST)
(312) 994-4460
Entity
Organization
Contact information
Practice address
955 W MONROE ST, CHICAGO, IL 60607-2811
(312) 994-4460
Mailing address
955 W MONROE ST, CHICAGO, IL 60607-2811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026734
IL
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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